Bunions are an unsightly deformation of the big toe joint that can sometimes cause pain. It is often thought that high heels or tight shoes cause bunions, but that isn’t always the case.
Joint below the big toe
Ligaments that support this joint
Surround muscles of the big toe and foot
Some common causes for bunions to form:
At your appointment, your podiatrist will take a comprehensive history to understand how the bunions have progressed, and whether they are painful or not. By observing your bunions your podiatrist will grade your bunions from stage-1 (mild) to stage-4 (severe) and then complete several assessments to determine the quality of movement, the remaining function of the big toe joint and the structures affected. This will lead to a better the outcome with management. Sometimes they will refer for an X-Ray to check for associated degeneration (arthritis).
Treatment modalities for bunions include:
If conservative management has been unsuccessful then a referral to a podiatric or orthopaedic surgeon will be the next point of action. Bunion surgery is a quite a complex procedure and definitely isn’t the first line of management!
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